Brookside Chruch
Pursuing Christ Together!

Short-term Service Application

If you are interested in short-term missions, please complete the form below.

 
PERSONAL DATA
Date *
Name *
Complete address *
Phone *
Email *
Birthdate *
Family status *
Married
Single
Name of spouse or fiance(e) *
Date of marriage *
Number of children *
Names and birthdates of children (enter "none" if applicable) *
CHRISTIAN LIFE AND SERVICE
Date and place of conversion *
Date and place of baptism *
Present church membership *
Date of becoming church member *
Positions held in your church *
Other involvement in Christian service *
Explain briefly your thoughts about the following:
The Bible *
The Trinity *
Salvation *
Christian growth *
Why you wish to do short-term missionary service *
When, where, and for how long you wish to serve *
Do you expect to do long-term Christian service in the future? If so, explain. *
EDUCATION AND EXPERIENCE
List schools or other training you have had beginning with high school, when attended or graduated, major study area, and diploma or degrees *
What languages do you know other than English? *
Your writing skills in that language are *
Your reading skills in that language are *
Your speaking skills in that language are *
Occupational experience: List significant jobs you have had in the last 5 years not listed above in Christian service. Give dates. *
List special interests, talents, hobbies, and major abilities. *
MISCELLANEOUS
Name and address of parents *
Your general health *
Excellent
Fair
Poor
Are there any conditions that might affect your service? If yes, explain. *
 
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Brookside Church | 6102 Evard Rd | Fort Wayne IN 46835 | PH 260-485-9665
Service Times: 8:00, 9:30, 11:00 A.M.